Kristian Anthony Casala
Individual provider Active NPI Occupational Therapist · Perry Hall, MD
NPI 1730592247 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1730592247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 07161 (MD)
- Practice address
- 5009 E Joppa Rd
Perry Hall, MD 21128-9315 - Phone
- (202) 375-9043
- NPI assigned
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Next Step Rehab LLC
Practice addresses (Care Compare)
2646 Sequoia LN
Gambrills, MD 21054-1376
Phone (202) 375-9043
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150514001942 | MD | Practitioner - Occupational Therapist in Private Practice | 2567782584 | Reassigns benefits to 1 organization |
| I20150514002515 | DC | Practitioner - Occupational Therapist in Private Practice | 2567782584 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step Rehab LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 07161 | MD | Yes |
Addresses
Primary practice location
5009 E Joppa Rd
Perry Hall, MD 21128-9315
Mailing address
5009 E Joppa Rd
Perry Hall, MD 21128-9315
Phone (202) 375-9043
Other providers in Perry Hall, MD
- Alexander Boulter
- Lisa Brown
- Bunna Transportation, LLC
- Joelle Babula Butler
- C and C Loving Heart Health Care Agency
- Maria Fatima Joanna Castro Casala
- Terese Chando
- Charlotte'S Hair Line Inc.
- Olivia Cheikh
- Chesapeake Pediatric Dental Group Inc
All providers in Perry Hall, MD · Occupational Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.